| NPI | 1851840300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER THOMAS DURUSKY Dentist 919-394-6957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: NC 9293) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-09-26 |